NPI | 1013510825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63699) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-10766) |
Enumeration Date | 2020-11-17 |
Last Update Date | 2024-02-29 |